食管癌Ivor-Lewis手术下胃食管吻合方式的最新进展

Recent Progress of Gastroesophageal Anastomosis under Ivor-Lewis Surgery for Esophageal Cancer

摘要: 目前，Ivor-Lewis手术仍然是治疗食管癌的最佳选择，其中最关键的部分在于胃食管吻合技术的发展。为了更好地实现这一目标，我们需要不断改进吻合方法，并对其进行归纳总结。无论是传统的手工吻合技术，还是先进的机械吻合技术，无论是线性吻合还是圆形吻合，其优劣都在影响术后吻合口并发症的发生。因此，有效的吻合技术不仅需要操作简便，更重要的是能够有效减少吻合口并发症的发生，而新型吻合技术也正在不断探索中。食管癌Ivor-Lewis手术之所以未完全使用，是因为目前缺乏较好的吻合方式，所以想要进行推广使用Ivor-Lewis手术，胃食管吻合方式则是以后的研究重点。肿瘤外科医生应在创新性吻合方式上进行更多的研究，在为患者构建更好的预后上不懈努力。

Abstract: At present, Ivor-Lewis surgery is still the best choice for the treatment of esophageal cancer, the most critical part of which is the development of gastroesophageal anastomosis technology. In order to achieve this goal better, we need to improve the anastomosis method and summarize it. Whether it is traditional manual anastomosis technology, advanced mechanical anastomosis technology, lin-ear anastomosis or circular anastomosis, its advantages and disadvantages affect the occurrence of postoperative anastomosis complications. Therefore, effective anastomosis technology not only needs simple operation, but more importantly, can effectively reduce the occurrence of anastomotic complications, and new anastomosis technology is also being constantly explored. The reason why Ivor-Lewis surgery for esophageal cancer has not been completely used is that there is currently a lack of good anastomosis methods, so we want to promote the use of Ivor-Lewis surgery, and gas-troesophageal anastomosis methods will be the focus of future research. Oncological surgeons should conduct more research on innovative anastomotic approaches to build a better prognosis for patients.